| NPI | 1700942125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 01404) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MO 00695) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2017-10-17 |